week 4 Clinical Manifestations Asthma Paper

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Zhunaanq

Health Medical

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Complete the HTN, CAD, DVT, PAD and oxygenation activities in preparation Case Studies for the exam next week.

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HTN, CAD, DCT, PAD Case Study Mark, age 45, is brought to the ED at 1220 by ambulance with complaints of chest pain. He states the pain lasted about 5 minutes and then went away. He also felt diaphoretic and nauseated but did not vomit. He was interviewing a perspective employee over lunch at the time the symptoms started. He states he has had similar pain when he shoveled snow, but it went away when he stopped shoveling snow. He does smoke 546 packs per year (PPY) and has 1 to 2 bottles of wine a day. Nursing Assessment: • VS: BP - 192/98; HR - 78 regular; R - 24; T - 98.7; POX - 96% RA • Airway: lungs clear • Circulation: no edema; pulses equal and strong in all 4 extremities • Disability: A&Ox3, moves all extremities equally • Skin: pink, warm, and dry • General Appearance: healthy appearing, well nourished, approximately 20 kg overweight • Family History: 2 brothers have HTN and one has CAD, father had MI The HCP orders diagnostic tests. The results are: • H&H - 15.3/49.2 • Glucose - 227 mg/dL • A1C: 13% • Na+ 143 (137-147 mEq/L) • K+ - 3.8 (3.6-5.2 mEq/L) • Cholesterol panel • Total cholesterol: 280 mg/dL • LDL: 160 mg/dL • HDL: 25 mg/dL • Triglycerides: 72 mg/dL • C-reactive protein (CRP): 4.2 mg/L • Homocysteine: 65 mcmol/L • CXR: Borderline increased heart size and clear lung fields • CT scan: negative List the risk factors Mark has for HTN and CAD. What lab data indicate the potential for CAD? What is the cause for the CXR results? What is the name of the chest pain Mark is having? Explain why Mark experienced chest pain. Would you say Mark has metabolic syndrome? Why? What stage would you classify Mark’s BP? Does Mark most likely have primary or secondary HTN? Mark is discharged from the ED with the diagnoses of HTN, CAD, and diabetes type 2. Based on these diagnoses, what health care specialists should Mark follow-up with? Oxygenation Class Activities Provide the rationale for the clinical manifestations of asthma Clinical Manifestations Rationale Wheezing: Dyspnea: Chest tightness: Cough: Tachypnea: Anxiety: PERF
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HTN, CAD, DCT, PAD Case Study
Mark, age 45, is brought to the ED at 1220 by ambulance with complaints of chest pain. He states the pain
lasted about 5 minutes and then went away. He also felt diaphoretic and nauseated but did not vomit. He was
interviewing a perspective employee over lunch at the time the symptoms started. He states he has had similar
pain when he shoveled snow, but it went away when he stopped shoveling snow. He does smoke 546 packs per
year (PPY) and has 1 to 2 bottles of wine a day.
Nursing Assessment:
• VS: BP - 192/98; HR - 78 regular; R - 24; T - 98.7; POX - 96% RA
• Airway: lungs clear
• Circulation: no edema; pulses equal and strong in all 4 extremities
• Disability: A&Ox3, moves all extremities equally
• Skin: pink, warm, and dry
• General Appearance: healthy appearing, well nourished, approximately 20 kg overweight
• Family History: ...


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